以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (1): 1-6.doi: 10.16460/j.issn1008-9969.2024.01.001

    Next Articles

Construction of nursing quality evaluation index system for prevention of perioperative hypothermia based on Structure-process-outcome model

KE Wen1,2, GAO Xing-lian1, YU Wen-jing1, FANG Min2, WANG Zeng-yan1   

  1. 1. Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2. School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2023-08-30 Online:2024-01-10 Published:2024-02-19

PDF (PC)

239

Like

Abstract: Objective To construct a nursing quality evaluation index system for the prevention of perioperative hypothermia based on structure-process-outcome model, and to provide reference for preventing hypothermia during operation. Method With Donabedian structure-process-outcome model and previous evidence-based research, the item pool of nursing quality evaluation index system for the prevention of perioperative hypothermia was formed. After the evidence-based team evaluated the evidence item by item according to FAME method, the expert consultation table was formed, and the indicators were adjusted, modified and confirmed after two rounds of expert consultation and group discussion. The final nursing quality evaluation index system for prevention of perioperative hypothermia was developed. Results The nursing quality evaluation index system for prevention of perioperative hypothermia contained 36 items of 14 structural indicators, 18 process indicators, and 4 outcome indicators. The recovery rate of two rounds of questionnaire was 100%; average judgment coefficient 0.955, average familiarity 0.758, and average authority coefficient 0.857. Kendall's harmony coefficient was 0.208 and 0.157, respectively (all P<0.001). Conclusion The nursing quality evaluation index system for the prevention of perioperative hypothermia based on Donabedian structure-process-outcome model is scientific and practical, which is worth to be popularized in clinical practice

Key words: perioperative, hypothermia, nursing quality, evidence-based nursing, index system

CLC Number: 

  • R472.3
[1] National Instituute for Health and Care Excellence. The management of inadvenent perioperative hypothermia in adults[EB/OL].(2018-08-29)[2022-03-01].http://www.nice.org.uk/guideance/cg65.
[2] Yi J, Lei Y, Xu S, et al.Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: national study in China[J]. Plos One, 2017, 12(6): e177221. DOI:10.1371/journal.pone.0177221.
[3] 赵诗雨, 喻姣花. 专科护理质量敏感性指标研究进展[J]. 护理研究,2019,33(8):1342-1346.DOI:10.12102/j.issn.1009-6493.2019.08.014.
[4] Burston S, Chaboyer W, Gillespie B.Nurse-sensitive indicators suitable to reflect nursing care quality: q review and discussion of issues[J]. J Clin Nurs, 2014,23(13/14):1785-1795. DOI:10.1111/jocn.12337.
[5] 马正良, 易杰. 围手术期患者低体温防治专家共识(2017)[J]. 协和医学杂志, 2017,8(6):352-358. DOI:10.3969/j.issn.1674-9081.2017.06.007.
[6] 魏鸿,郭硕.手术室护理敏感质量指标构建的研究进展[J].中华现代护理杂志,2019,25(3):392-397.DOI:10.3760/cma.j.issn.1674-2907.2019.03.030.
[7] Donabedian A.Evaluating the quality of medical care.1966[J]. Milbank Q,2005,83(4):691-729. DOI:10.1111/j.1468-0009.2005.00397.x.
[8] 余文静, 肖瑶, 胡娟娟, 等. 预防围手术期患者低体温的最佳证据总结[J]. 中华护理杂志, 2019,54(4): 589-594. DOI:10.3761/j.issn.0254-1769.2019.04.023.
[9] 肖瑶, 杨慧, 胡娟娟, 等. 围手术期低体温预防及管理的循证实践[J]. 中华护理杂志, 2019,54(9):1302-1307. DOI:10.3761/j.issn.0254-1769.2019.09.004.
[10] 李月仪,陈伟菊.德尔菲法在护理管理学中的应用现状[J].护理研究,2018, 32(21):3339-3341. DOI:10.12102/j.issn.1009-6493.2018.21.006.
[11] The Joanna Briggs Institute (JBI). Critical appraisal tools [EB/OL].(2017-07-15)[2022-03-10]. https://jbi.global/critical-appraisal-tools.
[12] 谢利民, 王文岳. 《临床指南研究与评价系统Ⅱ》简介[J]. 中西医结合学报, 2012, 10(2):160-165. DOI:10.3736/jcim20120206.
[13] Liu S, Pan Y, Zhao Q, et al.The effectiveness of air-free warming systems on perioperative hypothermia in total hip and knee arthroplasty:a systematic review and Meta-analysis[J]. Medicine (Baltimore), 2019,98(19): e15630. DOI: 10.1097/MD.0000000000015630.
[14] Link T.Guidelines in practice: hypothermia prevention[J]. AORN J, 2020,111(6): 653-666. DOI: 10.1002/aorn.13038.
[15] 章明阳, 杜李百合, 罗小平, 等. 术前患者预保温的最佳证据总结[J]. 护理学报,2020,27(6):17-22. DOI:10.16460/j.issn1008-9969.2020.06.017.
[16] 詹昱新,杨中善,李素云,等.基于循证构建住院患者肠内营养护理质量评价指标体系[J].护理学报,2019,26(10):26-31. DOI:10.16460/j.issn1008-9969.2019.10.026.
[17] 杨雪,张琳.层次分析法在护理管理领域中的应用进展[J].中国卫生产业,2018,15(16):193-194.DOI:10.16659/j.cnki.1672-5654.2018.16.193.
[18] 章明阳, 常后婵, 梁爱群, 等. 广东省85所医院手术室围手术期低体温管理的现状调查[J]. 中华护理杂志, 2020,55(7):1039-1044.DOI:10.3761/j.issn.0254-1769.2020.07.015.
[19] 冯慧婷, 马丽霞, 苏远香. 影响手术室护士术中低体温护理干预的相关因素[J]. 护理实践与研究, 2020,17(17): 63-65. DOI:10.3969/j.issn.1672-9676.2020.17.023.
[20] 朱红,刘争,王垭,等.基于三维质量评价模式构建住院患者非计划拔管风险管理质量评价体系[J]. 护理学报,2022,29(1):7-12. DOI:10.16460/j.issn1008-9969.2022.01.007.
[21] 敬洁,黄萌萌.手术室医院感染管理质量评价指标体系的构建[J].护理研究,2016,30(28):3503-3507. DOI:10.3969/j.issn.1009-6493.2016.28.014.
[22] 谭丽英. 手术室病人安全管理评价指标体系的构建[J]. 护理研究,2018,32(23):3725-3728.DOI:10.12102/j.issn.1009-6493.2018.23.018.
[23] 陈沅, 钱蒨健, 钱黎明, 等.手术室压力性损伤护理质量评价指标体系的构建[J].中华现代护理杂志,2020,26(1):45-49. DOI:10.3760/cma.j.issn.1674-2907.2020.01.009.
[24] 陈佳佳, 童莺歌, 刘苗苗,等. 术后疼痛管理质量评价指标体系的构建[J]. 中华现代护理杂志,2020,26(14):1821-1827. DOI:10.3760/cma.j.cn115682-20190826-03055.
[1] LIU Lu, ZHU Yu, CAO Yi, ZHANG Hua, PENG Yu-na. Effect of target temperature management strategy on intraoperative temperature management in patients undergoing hyperthermic intraperitoneal chemotherapy [J]. Journal of Nursing, 2025, 32(4): 59-63.
[2] MA Xiao-lan, XU Wei-fang. Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy [J]. Journal of Nursing, 2025, 32(4): 70-73.
[3] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[4] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[5] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[6] NIU Qing-mei, YU Ying, ZHANG Qian, JIA Ya-tian, TIAN Yu. Construction of follow-up management evaluation index system for patients with lower extremity atherosclerotic occlusive disease based on “three-dimensional quality structure” model [J]. Journal of Nursing, 2025, 32(2): 70-73.
[7] YAN Ya-ling, LE Mei-ni, YAO Tao-qin, WANG Xue-lian, JIANG Jian-ling, XIN Yi. Construction of perioperative frailty management program for elderly patients with gastrointestinal tumors [J]. Journal of Nursing, 2025, 32(2): 74-78.
[8] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[9] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[10] CHEN Jie, LAI Jing, WANG Cheng-yue, XU Liang-ying, YAN Juan, LUO Xue. Construction of humanistic care quality evaluation index system of ICU nursing based on Three-dimensional Quality Structure Theory [J]. Journal of Nursing, 2024, 31(9): 54-59.
[11] CHEN Si-qi, LIU Ning, HOU Xiao-min, LU Shu-ying. Best evidence summary for perioperative nursing management of enhanced recovery after surgery in robotic surgery for gastric cancer [J]. Journal of Nursing, 2024, 31(8): 31-36.
[12] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[13] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[14] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[15] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!